Nudging High-acuity Emergency Department Patients to Schedule a Follow-up Visit

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

6814 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-09

Study Completion Date

2025-04-06

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The goal of this campaign is to reduce unnecessary emergency department (ED) visits by encouraging patients with high acuity visits to follow up with an appropriate primary care provider (PCP) or specialist and therefore obtain appropriate care outside of the ED. In this campaign, patients will be assigned to receive or not receive outreach following ED discharge that is aligned with the goal. Outreach will occur via a text message and information added to the patient's after visit summary, and will include a contact number to schedule and hyperlink to allow self-scheduling. The study will assess whether ED use differs across patients in different outreach conditions. It will also examine whether patients followed through on the calls to action in the messages differently across conditions.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Informing Low-acuity Emergency Department Patients of Non-emergent Resources

NCT06350266

Emergency Service, Hospital

COMPLETED NA

Nudging High Emergency Department Utilizers to Consider Non-emergent Healthcare Resources

NCT06818825

Emergency Service, Hospital

ACTIVE_NOT_RECRUITING NA

Reducing Emergency Department Utilization With an After Visit Summary Nudge Toward Alternative Care Options

NCT05787548

Behavior, Health

COMPLETED NA

Decreasing ED Utilization by Nudging Patients to Call Their Providers

NCT04567849

Emergency Treatment Telephone Hotlines

COMPLETED NA

CMSL Ambulatory Sensitive Condition Nudge

NCT06798389

Behavioral Intervention Emergency Department Visits Nurse Care Coordination

COMPLETED NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Enrollment will conclude when either 7500 participants have been enrolled or after 120 days, whichever occurs first.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Emergency Service, Hospital

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Patients will be aware of their own messages but will not be aware of other messages.

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Control

This arm will receive no intervention outside of usual care.

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental: Schedule Follow-Up Visit - 1 message

This arm will receive a text message (at 1 day post-ED discharge) and information added to the patient's after visit summary providing a number and patient portal hyperlink via which to schedule an ED follow-up appointment.

Group Type EXPERIMENTAL

Information about scheduling a follow-up appointment

Intervention Type BEHAVIORAL

Text message(s) will be sent following discharge from the emergency department, along with an after visit summary.

Experimental: Schedule Follow-Up Visit - 2 messages

This arm will receive text messages (at 1 day and 8 days post-ED discharge) and information added to the patient's after visit summary providing a number and patient portal hyperlink via which to schedule an ED follow-up appointment.

Group Type EXPERIMENTAL

Information about scheduling a follow-up appointment

Intervention Type BEHAVIORAL

Text message(s) will be sent following discharge from the emergency department, along with an after visit summary.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Information about scheduling a follow-up appointment

Text message(s) will be sent following discharge from the emergency department, along with an after visit summary.

Intervention Type BEHAVIORAL

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Text messages Information

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* \>= 18 years of age
* ED visit rated as high acuity (level L2 or L3)
* Discharged from ED in past 24 hours
* Attributed to a Geisinger PCP in Community Medicine Service Line

Exclusion Criteria

* Have an appointment scheduled within 7 days following discharge with a primary care provider or specialist
* Institutionalized
* Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient/missing contact information in the electronic health record or because the patient opted out
* Admitted to hospital
* Eloped from ED
* Left ED without being seen
* Deceased prior to messaging

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No